RESUMO
Surgical treatment of a patient with recurrent acute adhesive intestinal obstruction is described. Seven plates of anti-adhesive barrier agent made from oxidized regenerated cellulose were applied to small bowel in order to prevent adhesions. Control examination did not reveal viscero-parietal adhesions between hollow organs and delayed passage through the gastrointestinal tract. Long-term results indicate the need for intraoperative prevention of intra-abdominal adhesions in patients with abdominal adhesive disease.
Assuntos
Materiais Biocompatíveis/administração & dosagem , Celulose Oxidada/administração & dosagem , Obstrução Intestinal/prevenção & controle , Intestino Delgado/cirurgia , Aderências Teciduais/prevenção & controle , Doença Aguda , Humanos , Obstrução Intestinal/etiologia , Recidiva , Prevenção Secundária , Aderências Teciduais/etiologiaRESUMO
It is presented case report of a patient with multiple cholangiogenic abscesses of right liver lobe in 7 years after primary surgery. High efficiency of minimally invasive technologies for purulent complications of biliary surgery was emphasized. Moreover, it was confirmed that choledochoduodenostomy as a variant of internal biliary drainage is not desirable for complicated course of cholelithiasis.